English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

We present a case of distal posterior inferior cerebellar artery (PICA) dissection with subarachnoid hemorrhage that was difficult to diagnose. A 72-year-old woman with a 2-year history of saccular cerebral aneurysm clipping presented with recurrent subarachnoid hemorrhage. Angiograms after the first and second subarachnoid hemorrhage showed irregular stenosis of the distal PICA that was thought to be arteriosclerotic change because of the same finding on previous angiograms. After the third subarachnoid hemorrhage, angiogram revealed aneurysmal dilatation from the irregular stenosis of the distal PICA. Based on the clinical course and interval change in angiographic findings after each episode, this patient was diagnosed with a distal PICA dissecting aneurysm with a hemorrhagic onset and was successfully treated with endovascular surgery. We present this case with a review of the literature.

nousotchuu no geka/nōsotchū no geka

Hemorrhagic Distal Posterior Inferior Cerebellar Arterial Dissection Arising from the Stenotic Lesion without Any Significant Long-term Interval Changes